Hyejin Kim, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

005830 Issued in NY

Practice address

315 Walt Whitman Rd Ste 311
Huntington Station, NY 11746-4112

Phone

(631) 923-0334

Fax

(631) 923-0335

NPI assigned

Mar 9, 2020

Last updated

Mar 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Libra Acupuncture PC

  • Acupuncturist
  • Huntington Station, NY
  • NPI 1124653373
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1790310944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WALT WHITMAN RD STE 311",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464112",
            "telephone_number": "631-923-0334",
            "fax_number": "631-923-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WALT WHITMAN RD STE 311",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464112",
            "telephone_number": "631-923-0334",
            "fax_number": "631-923-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYEJIN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rija Khan, OTR/L
• Suhail Azam Khan, R.PH
• Hina Khawaja
• Alan Khorshidi
• Avesta Miriam Khursand, N.P
• Jiyoon Kim, LAC.
• Joonghoon Kim, LAC
• Denise Anne Kleberg
• Bridget Laurann Klein, FNP-C
• Lauren Anne Klimek, MT-BC, LCAT

• Acupuncturist in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.